Wang Quan, Lei Dongqin, Chen Fan, Chen Yuanwei, Luo Xianglin
ACS Biomater Sci Eng. 2019 May 13;5(5):2258-2270. doi: 10.1021/acsbiomaterials.9b00027. Epub 2019 Apr 1.
Although smart polymer micelles able to respond to the tumor acid microenvironment are potential anticancer drug carriers, fruitful clinical application of these carriers is inadequate. For the purpose of finding the origin of the unsatisfactory therapeutic efficacy of pH-sensitive drug carriers with tertiary amine groups, we newly designed and synthesized poly{α-[4-(diethylamino)methyl-1,2,3-triazol]-caprolactone--caprolactone}--poly(2-methacryloyloxyethyl phosphorylcholine) (PDCL-PMPC), a biomimetic phosphorylcholine polymer with pH-ensitive groups. PDCL-PMPC self-assembles into small and uniform micelles as its counterpart poly(caprolactone)--poly(2-methacryloyloxyethyl phosphorylcholine) (PCL-PMPC) without pH-sensitive groups. The in vitro and in vivo properties of PDCL-PMPC and PCL-PMPC micelles are investigated in detail. PDCL-PMPC micelles display obvious pH sensitivity by micelle change and fast drug release at pH 5, but the insensitive micelles do not. The internalization of PDCL-PMPC micelles by tumor cells is stronger than that of PCL-PMPC micelles. However, in comparison with the insensitive micelles, the pH-sensitive micelles present much shorter blood circulation time in pharmacokinetics and demonstrate worse accumulation in the tumor site in vivo study. As a result, DOX loaded PCL-PMPC micelles demonstrate much better antitumor efficiency than pH-sensitive micelles. Furthermore, DOX loaded PCL-PMPC micelles show similar therapeutic efficacy to DOX·HCl but with considerably lower side effects.
尽管能够响应肿瘤酸性微环境的智能聚合物胶束是潜在的抗癌药物载体,但这些载体在临床上的实际应用成果并不理想。为了探究含叔胺基团的pH敏感药物载体治疗效果不尽人意的原因,我们新设计并合成了聚{α-[4-(二乙氨基)甲基-1,2,3-三唑]-己内酯-己内酯}--聚(2-甲基丙烯酰氧基乙基磷酰胆碱)(PDCL-PMPC),一种具有pH敏感基团的仿生磷酰胆碱聚合物。PDCL-PMPC能自组装成小而均匀的胶束,其对应物不含pH敏感基团的聚己内酯-聚(2-甲基丙烯酰氧基乙基磷酰胆碱)(PCL-PMPC)也能如此。我们详细研究了PDCL-PMPC和PCL-PMPC胶束的体外和体内性质。PDCL-PMPC胶束在pH 5时通过胶束变化表现出明显的pH敏感性和快速药物释放,而不敏感的胶束则没有。肿瘤细胞对PDCL-PMPC胶束的摄取强于PCL-PMPC胶束。然而,与不敏感胶束相比,pH敏感胶束在药代动力学中的血液循环时间短得多,并且在体内研究中在肿瘤部位的蓄积情况更差。结果,载有多柔比星的PCL-PMPC胶束比pH敏感胶束表现出更好的抗肿瘤效果。此外,载有多柔比星的PCL-PMPC胶束显示出与多柔比星盐酸盐相似的治疗效果,但副作用明显更低。
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